HomeMy WebLinkAboutDamiano Permit Application 10.22All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:-------- Permit Number:--------
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial ----- Residential -X�---
PERMIT APPLICATION FOR: Fence Installation
PROPOSED IMPROVEMENT LOCATION:
Pond
Lot No._{3__._ __
Block No ........ 5'---
____ Pitch
Building Height: _ Sewer _ Septic
Generator
Shutters
Sq. Ft. of First Floor:----------
Utilities:
_ Sprinklers
_ Gas Piping Gas Tank
_Plumbing
_Mechanical
Electric
DETAILED DESCRIPTION OF WORK:
Additional work to be performed under this permit- check all that apply:
Total Sq. Ft of Construction:--------
Cost of Construction: $ 2. 6�6. 00
New Electrical Meter Second Electrical Meter _
Address: --""...JL7.,..!C..,,<........,'"""'><!..!_....,,..:.w.J'-'-'-J.....dJ'--'-.I..L-'..L....L:.....:_,,cC.1..1-1-'-"""-'...._,_;_..:::....--'-"'-1........_.'-'---------
Prope rty Tax ID 11: l:?2\ \:--}01 -DOHp -000-5
Site Plan Name: J;;{}ff'l\ {ll)Q
Project Name: J::xlrru QY\O
I CONSTRUCTl,!=)N INFORMATION:
OWNER/LESSEE: CONTRACTOR: I
Name Antoni D 1XJJY11cmo Name: Todd M Paroline
Address: rs�i.:s �(U\ B�+t1)+>1 Company: Superior Fence a,hd Rail of Brevard County Inc
City; rDv:\- f21J.f2\e State: .EL- Address: 2778 N Harbor Cily!Blvd #102
Zip Code: -340.51 Fax: City: Melbourne State:�
Phone No. Zip Code: 32935 Fax: 321-638-0086
E-Mail: Phone No 321-636-2829
Fill in fee simple Title Holder on next page ( if different E-Mail spacecoast@superiorfenceandrail.com
from the Owner listed above) State or County License 31337
I
If value of construction Is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address: I
City: State: --- City: State: -- Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: I _Not Applicable
Name: Name:
Address: Address: I
City: City:
Zip: Phone: Zip: Phone:
I OWNER/ CONTRACTOR AFFIDVIT: Application rs hereby made to obtain a permit to do the work and installation as Indicated.
I certify that no work or installation has commenced prior to the issuance of a permit. j
St. Lucie County makes no representation that is granting a permit will authorize the permit holdJr to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendm,nts.
The following building permit applications are exempt from undergoing a full concurrency review room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to a�other non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must b record1ed in the public records of St.
Lucie County and p ted on the jobsite before the first i tion. you intend to obtain financing, consult
with lender a t or fore commencin wo or rec rdi o r N ic� of Commencement.
VEG ET/lf,8"-t"!t'lll""'l'l'ffl"l'Pl!'-t"1171'1ttffl�OVE
REVIEW REVIEW REVIEW
Name of person making staterent.
Personally Known Y., OR Produced Identification _
Type of Identification
P duced �-�--
Signature f Contractor/License Holder
STATE OF FLORIDA &!: \ r 1 11 , COUNTY OF ,J), vu...,,
Sworn to (or affirmed) and sulscribed before me of � Physical Presence or __ Online Notarization
this __ day of 2020 by
REVIEW
M,....�"""'"""""""_..i,. __ 'llll"fnR PLANS
REVIEW REVIEW
REVIEWS
Name of person making statement.
DATE
RECEIVED
:rrud ro WI 1ne)
Sworn to (or affirmed) and subscribed before me of L Physical Presence or __ Online Notarization
this __ day of , 2020 by
Personally Known ')? OR Produced Identification
Type of Identification
Produced -------:=:----�
Signature of Owner I Lessee/Contractor as Agent for Owner
STATE OF FLORIDA � \ couNTYOF , w1uc1
DATE
COMPLETED
JOSEPH E. SMITH, CLERK OF THE
FILE# 4770080 OR BOOK 4495
ST,\Tf. Of Florida et1 •
COl.fl'\Tr nr":: . Jf", L!;CJ:Q: _
I CIRCUIT COURT - SAINT LUCIE COUNTY
PAGE 44, Recorded 10/22/2020 09:19:02 AM
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Superior Fence and Rail ot Brevard County, Inc. 2778 N Harbor City Blvd, Ste 102, Melboorre, Fl 32935 -·· -- ·-- -- -- . -· -- - -- �. - - ·-- -- . 321-636·2829
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